Cellulitis: Any change?

A cross‐sectional survey of the diagnosis and treatment of distal limb cellulitis in horses by veterinary surgeons in the United Kingdom

“…Symptomatic relief via cold water hydrotherapy has been documented in human and equine literature (Adam and Southwood 2007; Fjordbakk et al . 2008; Bailey and Kroshinsky 2011; Adam 2019), and the findings of this study demonstrate that the majority of veterinary surgeons recommend cold water hydrotherapy via cold hosing. Cryotherapy (via ice bathing) may reduce enzymatic activity and bacterial protein synthesis as well as reducing inflammation in laminitis cases (Dern et al .…”

“…Literature suggests that a 5-day course of broad-spectrum antimicrobials is sufficient for most cellulitis cases in humans (Gabillot-Carr e and Roujeau 2007; Bailey and Kroshinsky 2011;Hirschmann and Raugi 2012;Raff and Kroshinsky 2016) and results of the current study indicate that this is also the case in horses. Symptomatic relief via cold water hydrotherapy has been documented in human and equine literature (Adam and Southwood 2007;Fjordbakk et al 2008;Bailey and Kroshinsky 2011;Adam 2019), and the findings of this study demonstrate that the majority of veterinary surgeons recommend cold water hydrotherapy via cold hosing. Cryotherapy (via ice bathing) may reduce enzymatic activity and bacterial protein synthesis as well as reducing inflammation in laminitis cases (Dern et al 2018;Adam 2019) and may be a suitable management recommendation for cellulitis, although application of ice may be impractical when compared with cold water hydrotherapy.…”

“…Symptomatic relief via cold water hydrotherapy has been documented in human and equine literature (Adam and Southwood 2007;Fjordbakk et al 2008;Bailey and Kroshinsky 2011;Adam 2019), and the findings of this study demonstrate that the majority of veterinary surgeons recommend cold water hydrotherapy via cold hosing. Cryotherapy (via ice bathing) may reduce enzymatic activity and bacterial protein synthesis as well as reducing inflammation in laminitis cases (Dern et al 2018;Adam 2019) and may be a suitable management recommendation for cellulitis, although application of ice may be impractical when compared with cold water hydrotherapy. In humans, elevation of the affected limb is advised as it is believed to assist in reduction of oedema (Gabillot-Carr e and Roujeau 2007;Hirschmann and Raugi 2012;Raff and Kroshinsky 2016).…”

“…Cellulitis can be defined as diffuse bacterial infection and inflammation of the deep dermis and subcutaneous tissues and may be life-threatening (Adam andSouthwood 2006, 2007;Fjordbakk et al 2008;Raff and Kroshinsky 2016). Cellulitis in horses has been described for a number of years and there is documentation of clinical presentations consistent with cellulitis in veterinary texts dating back to the 1800s (Mayhew 1891).…”

“…Cellulitis in horses has been described for a number of years and there is documentation of clinical presentations consistent with cellulitis in veterinary texts dating back to the 1800s (Mayhew 1891). Cellulitis is a common emergency presentation in horses and typically presents with acute onset heat, oedema (Fig 1), pain on palpation of the affected limb, variable lameness, with or without pyrexia, tachycardia and tachypnoea (Adam andSouthwood 2006, 2007;Fjordbakk et al 2008;Penno 2012;Rendle 2017). Although a diagnosis is frequently made based on clinical signs alone, hyperfibrinogenaemia and leukocytosis may also be present (Fjordbakk et al 2008).…”